OBJECTIVE: The objective of the study was to evaluate the impact of an electronic health record (EHR) on documentation completeness and patient care in a labor and delivery unit. STUDY DESIGN: We conducted a pre- and postintervention study to compare documentation quality and workflow before and after EHR implementation. Documentation was compared using chi(2) and Fisher's exact tests. Objective observers measured workflow activities across all shifts before and after EHR implementation and activities were compared using Kruskal-Wallis tests and analysis of covariance. RESULTS: Paper admission records were significantly more likely to miss key clinical information such as chief complaints (contractions, membrane status, bleeding, fetal movement, 10-64% vs 2-5%; P < .0001) and prenatal laboratory results and history (Varicella, group B Streptococcus, human immunodeficiency virus, 26-66% vs 1-16%, P < .0001). Both direct patient care and computer activities increased after EHR implementation (2 vs 12 and 12 vs 17 activities/shift, respectively, P < .0001). CONCLUSION: The introduction of an obstetric EHR improved documentation completeness without reducing direct patient care.
OBJECTIVE: The objective of the study was to evaluate the impact of an electronic health record (EHR) on documentation completeness and patient care in a labor and delivery unit. STUDY DESIGN: We conducted a pre- and postintervention study to compare documentation quality and workflow before and after EHR implementation. Documentation was compared using chi(2) and Fisher's exact tests. Objective observers measured workflow activities across all shifts before and after EHR implementation and activities were compared using Kruskal-Wallis tests and analysis of covariance. RESULTS: Paper admission records were significantly more likely to miss key clinical information such as chief complaints (contractions, membrane status, bleeding, fetal movement, 10-64% vs 2-5%; P < .0001) and prenatal laboratory results and history (Varicella, group B Streptococcus, human immunodeficiency virus, 26-66% vs 1-16%, P < .0001). Both direct patient care and computer activities increased after EHR implementation (2 vs 12 and 12 vs 17 activities/shift, respectively, P < .0001). CONCLUSION: The introduction of an obstetric EHR improved documentation completeness without reducing direct patient care.
Authors: S Bergrath; D Rörtgen; M Skorning; H Fischermann; S K Beckers; C Mutscher; J C Brokmann; R Rossaint Journal: Anaesthesist Date: 2010-09-19 Impact factor: 1.041
Authors: Emily Oken; Karen Switkowski; Sarah Price; Lauren Guthrie; Elsie M Taveras; Matthew Gillman; Jonathan Friedes; William Callaghan; Patricia Dietz Journal: Matern Child Health J Date: 2013-10
Authors: Michael F Chiang; Sarah Read-Brown; Daniel C Tu; Dongseok Choi; David S Sanders; Thomas S Hwang; Steven Bailey; Daniel J Karr; Elizabeth Cottle; John C Morrison; David J Wilson; Thomas R Yackel Journal: Trans Am Ophthalmol Soc Date: 2013-09
Authors: Chad D Meyerhoefer; Susan A Sherer; Mary E Deily; Shin-Yi Chou; Lizhong Peng; Tianyan Hu; Marion Nihen; Michael Sheinberg; Donald Levick Journal: J Am Med Inform Assoc Date: 2017-04-01 Impact factor: 4.497